Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Perathu Kannu Rakesh Manivannan, MD

Individual provider Internal Medicine Physician · NPI 1912468513

Perathu Kannu Rakesh Manivannan, MD is an Internal Medicine in Charleston, West Virginia. Qualified in 2016, 10 years ago. Practices with Charleston Area Medical Center Inc, a 968-clinician group, works from 4 locations and accepts Medicare assignment. Licensed in West Virginia.

Years since qualifying
10
Licensed in
WV
In the registry since
2019
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

501 Morris St
Charleston, WV 25301
Phone: (304) 388-5432
Fax: (304) 388-3604
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (3)

  • 800 Pennsylvania Avenue, Charleston, WV 25302 — (304) 388-5432
  • 3200 Maccorkle Ave Se, Charleston, WV 25304-1227 — (304) 388-5432
  • 1400 Hospital Drive, Hurricane, WV 25526 — (304) 757-1700

Specialties & licences

Internal Medicine Physician (primary) Taxonomy 207R00000X · Licence 31337 (WV)

Record details

NPI number1912468513
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedMarch 26, 2019
Last updated in NPPESOctober 28, 2025
Certification dateOctober 28, 2025

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyINTERNAL MEDICINE
Medical schoolOTHER
Graduated 2016 (10 years in practice)
Group practice Charleston Area Medical Center Inc — 968 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

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